Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 35042210 | OH |
NPI | 1083776637 |
---|---|
Provider Name | Mark S Schaffer |
First Address | Dayton, OH 45475-1084 |
Second Address | Dayton, OH 45404-1898 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000008724 | BCBS ANTHEM (01) | OH |
2047270 | (05) | OH |